MEDICARE: COMPASSIONATE NURSING CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	251EOOOOOX	MN

General Provider Information

NPI Number	:	1649411521
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPASSIONATE NURSING CARE

Provider Business Mailing Address
First Line	:	14 W FRONT ST
Second Line	:	PO BOX 426
City	:	SHERBURN
State	:	MN
Zip	:	56171-1035
Country	:	US
Telephone Number	:	507-763-4122
Fax Number	:	507-764-4136

Provider Business Practice Location Address
First Line	:	14 W FRONT ST
Second Line	:
City	:	SHERBURN
State	:	MN
Zip	:	56171-1035
Country	:	US
Telephone Number	:	507-763-4122
Fax Number	:	507-764-4136

Authorized Official
Title or Position	:	REGISTERED NURSE
Name	:	MRS. LINDA FINNESTAD
Credential	:	RN
Telephone Number	:	507-230-0259

Provider Enumeration Date	:	03/23/2009
Last Update Date	:	03/23/2009

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